Provider Demographics
NPI:1336381979
Name:COREPATH LABORATORIES, P.A.
Entity Type:Organization
Organization Name:COREPATH LABORATORIES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:EHSAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-617-4445
Mailing Address - Street 1:6918 CAMP BULLIS RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-2236
Mailing Address - Country:US
Mailing Address - Phone:210-617-4445
Mailing Address - Fax:210-617-4457
Practice Address - Street 1:6918 CAMP BULLIS RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-2236
Practice Address - Country:US
Practice Address - Phone:210-617-4445
Practice Address - Fax:210-617-4457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No207SC0300XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical CytogeneticsGroup - Multi-Specialty
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematologyGroup - Multi-Specialty
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A3710Medicare PIN